STANLEY PATENTED MASTERKEY SYSTEM SECURITY …

1 1/29/2014 Page 1 STANLEY PATENTED MASTERKEY SYSTEM SECURITY AUTHORIZATION FORM The STANLEY PATENTED MASTERKEY SYSTEM provides a higher level of protection against unauthorized key duplication and crossovers. To help ensure that STANLEY PATENTED cores and keys do not end up in the possession of unauthorized personnel, STANLEY will only authorize sales and shipment of STANLEY PATENTED cores and keys to the individuals noted on this form. Please complete this form carefully as STANLEY and/or its Authorized Distributor will strictly adhere to this information. END USER: _____ End User Name _____ Account Number SECURITY AUTHORIZED PERSONNEL: Please provide the names of all SECURITY personnel who are authorized to place purchase orders for End User s STANLEY PATENTED MASTERKEY Systems. 1. _____ _____ Name Street Address _____ _____ Title City, State, Zip _____ _____ Signature Phone Number/Email Address _____ Date 2. _____ _____ Name Street Address _____ _____ Title City, State, Zip _____ _____ Signature Phone Number/Email Address _____ Date 3.

2 _____ _____ Name Street Address _____ _____ Title City, State, Zip _____ _____ Signature Phone Number/Email Address _____ Date The purpose of this form is for the end user to designate representatives who are authorized to place an order for STANLEY PATENTED cores or keys and to confirm the correct shipping address for STANLEY PATENTED product. It is the responsibility of the Distributor to ensure that the end user completes a SECURITY Authorization Form and submits it to STANLEY with each order. 1/29/2014 Page 2 AUTHORIZED DISTRIBUTOR: please insert the name below of the Authorized Distributor that you that you assign and authorize to place orders for STANLEY PATENTED Product on your behalf. 1. _____ _____ Name Street Address _____ _____ Title City, State, Zip _____ _____ Signature Phone Number/Email Address _____ Date SHIPPING ADDRESS: please provide the address where you would like all STANLEY PATENTED Product shipped.

3 _____ Department _____ Street Address _____ City, State, Zip ACCEPTABLE METHOD FOR PLACING ORDERS: please identify below the method that you authorize for placement of orders for STANLEY PATENTED Product. Signature Verification STANLEY may only accept original purchase orders that have been signed in blue ink by one of the individuals designated on this form by the End User. STANLEY will verify that the signatures match before initiating activity on the order. STANLEY will not initiate activity until the original has been received. Email Verification STANLEY may accept electronic purchase orders from the email accounts designated on this form by the End User. STANLEY will verify that the email account sending the purchase order has been designated as an authorized purchaser. Purchase orders received from accounts not listed will not be accepted. Fax Verification STANLEY may accept purchase orders via fax from one of the individuals designated on this form by the End User.

4 STANLEY will verify that the individual placing the order has been designated as an authorized purchaser. STANLEY MASTERKEY CODE & MASTERKEY SERVICE POLICY: In accordance with the STANLEY MASTERKEY Code and MASTERKEY Service Policy, all STANLEY PATENTED MASTERKEY Codes and combinations are available for distribution solely to end users and select Authorized Distributors. To assist in reducing the possibility of duplication within a STANLEY PATENTED MASTERKEY SYSTEM and ensure SECURITY , all STANLEY PATENTED MASTERKEY Code extensions and next in series codes should be made or approved by STANLEY MASTERKEY personnel and/or the Distributors that have been authorized by STANLEY to have access to STANLEY PATENTED MASTERKEY Codes, un-combinated cores and key blanks. Duplication or release of STANLEY PATENTED MASTERKEY Codes to non-authorized people or organizations, including, but not limited to, unauthorized distributors, wholesalers, private locksmiths, other lock manufacturers, architects, or contractors violates STANLEY s ownership rights and is strictly prohibited By signing below, End User acknowledges that 1) the information provided above is accurate and correct and 2) that any unauthorized use including, but not limited to, the transmission or dissemination of STANLEY PATENTED MASTERKEY Codes, without the express written consent of STANLEY is strictly prohibited.

5 END USER SIGNATURE: _____ TITLE: _____ DATE: _____